JEWELL COUNTY HOSPITAL

Critical Access Hospitals

100 CRESTVUE AVE

MANKATO, KS, 66956

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(785) 378-3137

Emergency Services: Yes

Government - Local

Procedure Prices at JEWELL COUNTY HOSPITAL

36415 Venipuncture

CPT 36415

$13.5

Mechanical Traction

CPT 97012

$45.5

Therapeutic Exercises

CPT 97110

$50.93

Therapeutic Activities

CPT 97530

$50.93

Complete Blood Count with Automated Differential

CPT 85025

$55.28

CL 99213 OP SPECIALTY EST VISIT LEVEL III OR 20-29 MIN

CPT 99213

$69.65

Comprehensive Metabolic Panel

CPT 80053

$97.5

EKG Tracing

CPT 93005

$107.25

ER Visit — Low-Moderate Complexity

CPT 99283

$130.5

Chest X-Ray (1 view)

CPT 71045

$157.5

ER Visit — Moderate Complexity

CPT 99284

$165

Chest X-Ray (2 views)

CPT 71046

$172.5

Thoracic Spine X-Ray

CPT 72072

$195

Retroperitoneal Ultrasound

CPT 76770

$213.75

Abdominal Ultrasound

CPT 76700

$270

ER Visit — High Complexity

CPT 99285

$499.95

Echocardiogram

CPT 93307

$594

CT Chest

CPT 71250

$900

CT Abdomen & Pelvis

CPT 74177

$1,012.5

MRI Brain w/o Contrast

CPT 70551

$1,125

MRI Joint of Lower Extremity

CPT 73721

$1,125

MRI Brain w/ Contrast

CPT 70553

$1,350

Echocardiogram w/ Doppler

CPT 93306

$1,575.75

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Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.